CMS Formulary

Displaying 195511-195520 of 1611142 results.
ID: 195511
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1359030
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195512
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1359025
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195513
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1359135
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195514
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 1095362
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195515
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 753482
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195516
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 750268
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195517
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 761977
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195518
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 750265
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195519
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 762001
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 195520
Formulary ID: 00021083
Formulary Version: 17
Contract Year: 2021
RXCUI: 762334
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0